< Back to California Unemployment

Lucas Turner

PFL claim denied - no explanation given. What to do?

My paid family leave claim was denied and I have no idea why. Has anyone else dealt with this? I'm so frustrated and don't know what to do next. I really need this money to take care of my family member. Any advice on how to appeal or get more information about why it was denied?

Ugh, that sucks. I've been there before. Did you get a letter explaining why it was denied? Sometimes they send those out with more details.

0 coins

No letter yet 😞 Just got a notification on the website that it was denied. I'm hoping the letter comes soon with more info.

0 coins

Oof, waiting for that letter is the worst. Hang in there! 💪

0 coins

Pro tip: call them ASAP. Don't wait for the letter, it could take weeks. The sooner you know why, the sooner you can appeal if needed.

0 coins

I found a way to actually get someone on the phone! I used this site's (claimyr.com) calling tool that dials the phone menu, stays on hold, waits for a live agent to pick up, then sends the call to my phone. It does cost $20, but it works. Here's a video about it: https://youtu.be/Ize0EkN4HDI

0 coins

Sounds too good to be true. Is this legit?

0 coins

Yep, totally legit! I was skeptical at first too, but it saved me hours of frustration. Worth every penny imo.

0 coins

How long did you have to wait for the callback?

0 coins

It took about 2 hours for me, but I've heard it can vary. Still wayyy better than trying to call yourself all day!

0 coins

Common reasons for denial: 1. Incomplete application 2. Missing medical certification 3. Not enough work hours in the base period 4. Employer dispute Check these first and see if any apply to your situation.

0 coins

The system is so broken 🤬 I swear they deny claims hoping people won't appeal. Don't give up!

0 coins

Preach! 🙌 It's like they're playing games with our lives.

0 coins

Idk, I think most of the time its just honest mistakes. The workers are probably overwhelmed.

0 coins

Maybe, but that doesn't make it any less frustrating for us! 😤

0 coins

Have you tried reaching out to your local state representative? Sometimes they can help push things along or get more info.

0 coins

I hadn't thought of that! Do you know how I would go about contacting them?

0 coins

Just google your address + 'state representative'. Most have forms on their websites for constituent services. Good luck!

0 coins

Make sure you appeal within the deadline! Usually its like 30 days or something. Don't miss that window or you'll be SOL.

0 coins

I went through something similar last year. First thing - definitely appeal ASAP if you believe the denial was wrong. You can usually do this online through your EDD portal or by mailing in the appeal form. In the meantime, try calling the PFL phone line early in the morning (like 8am sharp) - you'll have better luck getting through. Also, gather all your documents again (medical forms, employment records, etc.) in case there was something missing they didn't clearly communicate. The whole process is frustrating but don't give up! Many denials get overturned on appeal.

0 coins

This is super helpful advice! I'm definitely going to appeal - I'm pretty sure I submitted everything correctly. Quick question though - when you appealed, did you have to submit new documentation or just explain why you think the denial was wrong?

0 coins

Document everything! Take screenshots of your denial notification and keep copies of all the paperwork you submitted. When you do get through to someone (whether by phone or appeal), having everything organized will help your case. Also, don't be afraid to ask for a supervisor if the first person you talk to can't help - sometimes they have more authority to look into what went wrong. Hang in there!

0 coins

I'm dealing with the exact same thing right now! Got denied last week with zero explanation. From what I've read here and other forums, it seems like the most common issues are missing medical certification or not meeting the work requirements. I'd definitely recommend calling that 8am number someone mentioned - I tried yesterday but couldn't get through. Also planning to contact my assembly member's office today since that seems to help move things along. Keep us posted on what you find out - we're all in this together! 🤞

0 coins

Same boat here! 😤 Got my denial notification three days ago and still no letter explaining why. It's so frustrating when you're counting on that money. I'm going to try the early morning call strategy too - maybe we can both get some answers. Thanks for sharing your plan about contacting the assembly member, I hadn't thought of that but it sounds like a smart move. Definitely keep us updated on what you find out!

0 coins

I've been through this nightmare before! First, definitely appeal immediately - you usually have 20 days from the denial date, not 30. Don't wait for the explanation letter since it can take forever. When I appealed, I wrote a detailed letter explaining why I believed I qualified and resubmitted all my documents (even though I thought they already had them). Turns out they "lost" my doctor's certification form 🙄. The appeal process took about 6 weeks but I eventually got approved retroactively. Also try calling right at 8am or use that claimyr service someone mentioned - I was skeptical but desperate times call for desperate measures! Keep fighting, these denials are often administrative errors.

0 coins

Wait, only 20 days?! I thought it was 30 too - that's scary how easy it would be to miss that deadline! Thanks for the heads up about resubmitting everything even if you think they have it. The fact that they "lost" your doctor's form is so typical 😡 but at least it worked out in the end. I'm definitely going to appeal right away and not wait around for that explanation letter. 6 weeks sounds brutal but getting approved retroactively makes it worth it. Did you have to do anything special during the appeal hearing or was it mostly just paperwork?

0 coins

I'm so sorry you're dealing with this - the lack of explanation is the worst part! I went through a similar situation a few months ago. Here's what I learned: First, check your EDD online portal under "Inbox" - sometimes there's a message with more details that doesn't show up in the main notifications. Second, definitely call the PFL line at (877) 238-4373 first thing at 8am - I got through on my third try doing this. If you can't get through after a few days, the claimyr service people mentioned actually does work (used it myself). Most importantly, start your appeal process immediately even without the explanation letter - you can always add more info later. In my case, they denied me because my doctor used the wrong form (DE 2501 instead of DI 2501), which was a simple fix once I knew what the issue was. Don't give up - about 40% of appeals are successful!

0 coins

This is incredibly helpful - thank you for breaking it down so clearly! I had no idea there were different doctor forms and that using the wrong one could cause a denial. That's exactly the kind of detail they should include in their denial notices! I'm going to check my online portal inbox right now and then try calling at 8am tomorrow. The 40% appeal success rate is actually encouraging - gives me hope that this might just be a fixable mistake. Really appreciate you sharing your experience! 🙏

0 coins

Mei Lin

Hey Lucas, I feel your frustration! This exact thing happened to me earlier this year. A few things that helped me figure it out: 1) Log into your EDD portal and check the "History" section under your PFL claim - sometimes there are status codes there that give clues about why it was denied. 2) If you submitted your claim recently, double-check that your doctor filled out the medical certification completely - missing signatures or dates are super common denial reasons. 3) Also verify your base period wages meet the minimum requirements (you need at least $300 in wages during your base period). The appeal process is definitely worth it if you believe you qualify - I've seen people get approved after initially being denied for paperwork issues. Don't let this discourage you from getting the support your family needs! 💪

0 coins

California Unemployment AI

Expert Assistant
Secure

Powered by Claimyr AI

T
I
+
27,667 users helped today